<form action="#">
	<label class="control-label">First Name</label>
	<input type="text" class="span8" />
	<label class="control-label">Last Name</label>
	<input type="text" class="span8" />
	<label class="control-label">Company</label>
	<input type="text" class=" span8" />
	<label class="control-label">Job Title</label>
	<input type="text" class=" span8" />
	<label class="control-label">Country</label>
	<div class="controls">
		<select id="country" name="country"></select>
	</div>
	<div class="submit-btn">
		<a href="#" class="btn green">Save Changes</a>
		<a href="#" class="btn">Cancel</a>
	</div>
</form>